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NUR 442 Exam | 2027 Nursing Exam Preparation Guide – Practice Questions with Detailed Answers and Rationales-NURSING CARE IN THE COMMUNITY

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This study guide supports preparation for the NUR 442 nursing examination, featuring practice questions, detailed answers, and rationales designed to reinforce nursing knowledge and clinical decision-making. The material can help students review key course concepts, apply nursing principles to clinical scenarios, and strengthen their understanding of patient assessment and evidence-based care. Updated for 2027 exam preparation, this resource is intended to support independent study and knowledge review. Because NUR 442 course content varies by institution, students should compare the material with their course syllabus, assigned readings, and official examination objectives.

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NUR 442
EXAM
NURSING CARE IN THE COMMUNITY



ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES


2027 UPDATED

, A community health nurse is reviewing the levels of disease prevention. Which of the
following activities is an example of tertiary prevention?
A. Immunizations
B. Screening for cancer
C.Providing treatment for clients who have COPD - Correct Answer✅-C

A nurse is holding a well child clinic in the community center in a predominantly
Spanish speaking area. A number of infants and toddlers at the center have remarkably
low birth rates for their ages. What action should the nurse take first?
A. health care policies are private
B. Involving the community will ensure they have a voice in identifying the problems in
the community and work to resolve their problems
C. the nurse does not need the community - Correct Answer✅-B

A community health nurse determines exactly how many cases of a particular disease
were occurring in the community. Which action should be taken by the nurse before
determining which intervention should be planned?
A. Compare the current rate with the previous rate of diseases
B. Nothing can be done
C. Report to the state health department - Correct Answer✅-A

A community health nurse has completed a community assessment and is now writing a
community nursing diagnosis for the problem. Which component of the diagnosis will
be used to summarize the assessment data of the problem?
A. Identify Needs
B. Identification of the health risk
C. Identify community - Correct Answer✅-B

A community health nurse is assessing the health of students in a local college town.
What assessment data should the nurse analyze. SATA
a) Vital statistics related to the common causes of death and injury for that age group
b) Number of sandboxes in the playground through the community
c) Health resources available in the community for the age group
d) Community survey results regarding residents' health condition
e) Accessibility and safety of playground equipment at local fast-food restaurants
f) Availability of all-terrain vehicles at the local car dealership - Correct Answer✅-
A,C,D

A community health nurse is aware that healthy people 2020 supports health and
human services efforts to create a healthier nation. What goal is this
A. Improving food choices
B.Improving access to health care for high-risk groups
C. Opening new clinics - Correct Answer✅-B

A community health nurse is designing a health fair for clients with diabetes in the
community. Based on the healthy people 2020 initiatives. What information would the
nurse want to include for clients with diabetes? SATA

,A.Monitoring blood glucose level
B. Monitoring of carbohydrate intake
C. Monitoring of body rashes
D. Monitoring of bowel habits
E. Monitoring of susceptibility to cold temperature
F. Monitoring skin assessment - Correct Answer✅-A.Monitoring blood glucose level
B. Monitoring of carbohydrate intake
F. Monitoring skin assessment

A community health nurse is educating a group of nursing students about the level of
prevention. What would be included in the instruction as an example of primary level
prevention?
A. Treating COPD
B. Screening for cancer
C. Developing a pamphlet about immunization safety for a local health fair - Correct
Answer✅-C

A community health nurse is performing a needs assessment in a community. Which
action is important for the nurse to include in this phase?
A. Assess food options
B. Assess availability of community resources
C. Assess parks in community - Correct Answer✅-B

A community health nurse is presenting a class on the benefits of physical exercise.
What is the best way for the nurse to determine if the information provided will create
change?
A. The community members agree to participate
B. Amount of input and participation by learners
C. The community members promise to attend - Correct Answer✅-B

A community health nurse is reviewing the levels of disease prevention. Which of the
following activities is an example of tertiary prevention?
A. Immunization pamphlets
B.Providing treatment for clients who have COPD
C. Screening for diabetes - Correct Answer✅-B

A community health nurse understands the screening for disease can save lives. Which
screening would be the best for the nurse to provide?
A. Screening for a disease which can be controlled if caught early in the disease process
B. Screening all diseases is important
C.No screening for diseases will be effective - Correct Answer✅-A

A community health nurse wants to obtain an overview of the community, but it has
limited time and resources. Which of the following methods would the nurse most likely
use to obtain this information?
A. Windshield survey
B. Ask a co worker for help
C. Skip that community - Correct Answer✅-A

, A community nurse is conducting an educational program on various environmental
pollutants. The nurse should emphasize the clients who have which of the following
disorders that are especially vulnerable in the ozone effects.
A. Chicken pox
B. Asthma
C. Scarlet fever - Correct Answer✅-B

A female client develops a vaginal yeast infection after a course of antibiotics for strep
throat. Which component of the epidemiological triangle is primary responsible?
A. Agent
B. Host
C. Environment
D. Antibiotic - Correct Answer✅-B

A nurse caring for 2 clients with communicable diseases. Following the diagnosis and
treatment of these clients. Which action should the nurse take?
A. Keep it a secret
B. Only tell the family members
C.Notify the state health department - Correct Answer✅-C

A nurse in a community clinic is assessing an older client for manifestations of
dehydration. Which of the following findings should the nurse expect?
A. Edema
B. Furrows in the tongue
C. Bounding pulses - Correct Answer✅-B

A nurse is caring for clients who need tertiary care and are outside the medical and
economic main street. The client asks the nurse about health care policy and how it may
benefit them. What would be the best response from the nurse?
A.Healthcare policy exists to meet the needs of the population
B. The Health care policy does not benefit them
C. It violating HIPAA - Correct Answer✅-A

A nurse is conducting a study regarding children with soft tissue sarcoma and is
collecting data on past exposure to certain variables. For which type of study is the data
being collected?
A. Culture study
B. Needs study
C. Retrospective study - Correct Answer✅-C

A nurse is developing a program about strategies to prevent foodborne illness for a
community group. The nurse should plan to include which of the following
recommendations? SATA
a) Keep cooked food at 120 degrees Fahrenheit (should be 60 C/40 F)
b) Wash raw veggies thoroughly in clean water
c) Reheat leftovers before eating
d) Keep cold food at 4.4C or 40-degree Fahrenheit

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